Inguinal Hernia after RP
There appear to be that Indirect Inguinal Hernia occurs in a good proportion of patients after Prostatectomy. It has been documented that this complication occurs more frequently after 2 or 3 yrs, it can occur earlier as well. There could be many who undergo Prostatectomy who has hernia already existing. It appears that patients who have undergone Open Radical Prostatectomy have a higher incidence of developing hernia than those who have undergone Lap or Robotic RP (the incidence appears same).
The systematic and Metaanalysis provided is the 2nd such study undertaken on this aspect.
It is advised that patients who have a tendency to develop hernia or already have hernia are better repaired intraoperatively.
This additional information could help in counselling of patients. There are many in the area advocating repair intraoperatively but there are some who may believe that this additional procedure is not that essential.
With warm Regards,